HomeMy WebLinkAboutPermit Mechanical 2009-8-4
City of Springfield
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Mechanical Authorization To Begin Work
E-mailed To: kelly@comfortnow.coin
69600-BMC-09-00053
8/3/2009 3:25 pm
Approval Code: 004080
Check on status of permit
By Phone: 54]-726-3753 or Email: pcrmilccntcr@ci.springlield.or.us
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FEE SCHEDULE
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Totul I
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$79.00
I D NewConstruction
CrossStrccl/dirccrions lojobsilc:
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I Description
IMiQ~uildiees~ ~ .', ;.'
I Firsl Appliance Fee l
l~iEClIANICAL PERMiT F'EES_-~_~,~-_;:' ~ '- t:.
I Subtotal
I State sorchargc (12% orpennit
total)
I Technology fee (5% of pennit
total)
!TOTAL PERMIT FH
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o Additionlaltcflllionfreplacement
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I ;~~~:~~;~:;,~:;:;,~,), :~"jt:fB\SITE INFORMA TION';'A'Ni)I:oCA TIO~\>
I Job Addrtss: 929 DARLENE AVE
I City/Sfatef'.lIP; SPRINGFIELD, OR 97477
I SuiteJbltlg.lnpl.no.:
I Project Name: COOPER
$79.00
$9.48
$3,95
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INSTALL AC AND GAS FURNACE
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Name: GARRY COOPER
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Phone: 541-746-8111B
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Email:
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Business Name: C~~~",:~~~AT!~~I ~n ~T'H\ I; IDCQfI~.rT-I~ ~lnT
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Address: ]951 DON.~.T... :-" .." 'l..' !'T~183
CityfStllle/ZIP: SPR"M'6Fllib',1)RU994~7~<h I .
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Phone: 54].726.0100
Fax: 54].7264799
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952,001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Emllil,
I Metro lie. no.:
Cily lie. no.:
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
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Upon review and. approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
The local building department may determine that an Authorization To
Begin Work is null and void If It does not meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGr mLU
Building/Combination Permit
PERMIT NO: COM2009-01120
ISSUED: 08/04/2009
APPLIED: 08/03/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 929 DARLENE AVE
ASSESSOR'S PARCEL NO.: 1703272101600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install air conditioner and gas furnace in residence.
Residential
Owner:
Address:
COOPER GARRY R
929 DARLENE AVE
SPRINGFIELD OR 97477
Phone Number: 541-746-8188
I. CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
COMFORT FLOW HEATING CO.
License
460
Expiration Date
06/27/2011
Phone
541-726-0100
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
, Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
NOTICE: I DEVELOPMENT INFORMATION I .
TH~S PERMIT SHALL EXPIRE IF THE 0 K . ATTENTION: OregorREQUIRE01Pl\'R~G
~ ~~ follow rules adopted hV th~ Oregon Utility
F.rontyard setb~"/CRIZED UNDER THIS PERMIT v It D.st: ThTotal I s are set forth
~ Notification Center. I't'" '.u e
S,de I Setb~\S:MMENCED OR IS ABANDON S Trees Rqd: in OAR 952-001-0010 t\ti'99~~~PY,\1~'352-001-
Side 2 Selbackv j 80 DAY PE ED FfP!ilvcd Drive Rqd: 0090. You may obtain<G~'PP"'!,c!:i1 the rules by
Rearyard S~~acK: RIOD. % of Lot Coverage: (N t th t I phone
calling the center.< 0 e: e e e , '
Solar Setbacks: number for the Oreg?~ ~:~i~L ~,?tlfICa!lOn
v~IILt;;j l~ I~V"''''' .......- -..... .).
I PUBLIC IMPROVEMENTS.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e I of 2
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Status
Issued
CITY OF SPRINGFIELD
,;
Building/Crmbination Permit
PERMIT NO: C:OM2009-01120
ISSUED: 08/04/2009
APPLIED: 08/03/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~s Paicl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
8/4109
8/4/09
8/4/09
1200900000000000870
1200900000000000870
12~0900000000000870
Total Amount Paid
$92.43
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections tequested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I. Rer"llIir~,cll."'\7ec~ion~.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shah be done in accordance with
,
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and '
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wijlbe used on this project.
"
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located 'at the front of the property, and the approved set of plans will remain on the site at all
times during construction. r
Owner or Contractors Signature
Date
Pal!e 2 of 2
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01120
COM2009-0] 120
COM2009-0 1 ]20
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Description
1st App]iance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000000870
Received By
KR
Page] of ]
Check Number
Batch Number
City of Sp~ingfield Official Receipt
Developm~nt Services Department
, )
Public Works Department
I'
Date: 08/04/2009
8:12:36AM
Item Total:
Authorization
Number,
Amount Due
79,00
3,95
9.48
$92.43
How Received
"
Amount Paid
$92.43
ONLINE COMFORT Online
FLOW II
HEAT,
,
Payment Total:
$92;43
81412009